Individual provider Active NPI

Tuyen Thi Chung, NURSE PRACTITIONER

  • Nurse Practitioner
  • Langhorne, PA
National Provider Identifier
1942768205
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019744 Issued in PA
Practice address
940 Town Center Dr Ste F50
Langhorne, PA 19047-3501
Phone
(267) 352-3990
NPI assigned
Mar 6, 2019
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP019744 PA Primary

Addresses

Primary practice location

940 Town Center Dr Ste F50
Langhorne, PA 19047-3501

Mailing address

404 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Phone (609) 845-3988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603000086 PA Practitioner - Nurse Practitioner 9436482718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naspac-NJ PLLCGroup PAC ID 6406001205, 9 clinicians

Practice addresses (Care Compare)

2325 Maryland Rd
Suite 100
Willow Grove, PA 19090-1758
Phone (215) 657-1315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP019744PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Naspac-NJ PLLC CurrentSince Sep 5, 2023 Accepting new patients
Naspac-NJ PLLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

404 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 845-3988

930 Town Center Dr
Ste F50
Langhorne, PA 19047
Phone (267) 352-3990

2325 Maryland Rd
Ste 100
Willow Grove, PA 19090
Phone (215) 657-1315

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1942768205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362768",
            "telephone_number": "609-845-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 TOWN CENTER DR STE F50",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473501",
            "telephone_number": "267-352-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "TUYEN",
        "middle_name": "THI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.